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Earned Leave Format 1

This document is an application form for earned leave at the Central University of Kashmir, requiring details such as the applicant's name, post, department, leave nature, and period. It includes undertakings regarding leave salary and conditions for refunding amounts in case of retirement or resignation. The form also requires certification of leave admissibility and approval from the sanctioning authority.

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Rafiq Parvaiz
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130 views2 pages

Earned Leave Format 1

This document is an application form for earned leave at the Central University of Kashmir, requiring details such as the applicant's name, post, department, leave nature, and period. It includes undertakings regarding leave salary and conditions for refunding amounts in case of retirement or resignation. The form also requires certification of leave admissibility and approval from the sanctioning authority.

Uploaded by

Rafiq Parvaiz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CENTRAL UNIVERSITY OF KASHMIR

Transit Campus: Sonwar, Near G.P. Pant Hospital, Srinagar – 190004


Tel: 0194-2468354, 2468357, Fax: 2468351, Website www.cukashmir.ac.in

FORM OF APPLICATION FOR EARNED LEAVE


(See Supplementary Rule 216)

Note: Items 1 to 11 must be filled in all by applicant whether gazetted or non-gazetted:

1. Name of the applicant

2. Leave rules applicable

3. Post held

4. Department/ Section

5. Pay Band and AGP/ GP

6. HRA. Conveyance Allowance or other


compensatory allowances drawn in the
present post
7. Nature and period of leave applied for
and date from which required
8. Sundays and holidays, if any, proposed
to be prefixed/ suffixed to leave

9. Ground on which leave is applied for

10. Date of return from last leave, and the


nature and period of that leave

11. I Propose/ do not propose to avail myself for Leave Travel Concession in the block years
_______________ during the ensuring leave.

12 (a) I undertake to refund the difference between the leave salary drawn during leave on average
pay/commuted leave and that admissible during leave on half average pay / half pay leave, which
would not have been admissible had the proviso to F.R 81 (b) (ii)/ Rule 11 (c) (iii) of the Revised
Leave Rules, 1933, not been applied in the event of my retirement from service at the end or during
the commencement of the leave.

(b) I undertake to refund the leave salary drawn during leave not due which would not been
admissible had F. R 81 (c)/ Rule 11 (d) of the Revised Leave Rules 1933 not been applied, in the
event of my voluntary retirement or resignation from service at any time until I earn half pay leave not
less than the amount of leave not due availed of by me.

Date........................ Signature of the applicant...............................


13. Remarks and /or recommendation
of the controlling officer

Date…………….. Signature………………………
Designation……………………

CERTIFICATE REGARDING ADMISSIBILITY OF LEAVE

14. Certified that _____________________________________________________ (Nature of Leave)


for _____________________ from _______________ to _________________ is admissible under
rule _________________________________ of the ____________________________ Rules.

Signature........................................
Date.......................... Designation.......................................

15. * Orders of the sanctioning authority

Signature........................................

Date............................ Designation....................................

* If the applicant is drawing any compensatory allowance, the sanctioning authority should see
whether on the expiry of leave he is likely to return to the same post or to another post carrying a
similar allowance.

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